Individual
DR. TYLER ALSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4216 S COX RD STE 132, SPRINGFIELD, MO 65810-7570
(417) 605-2122
Mailing address
4216 S COX RD STE 132, SPRINGFIELD, MO 65810-7570
(417) 605-2122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2020001771
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020001771
STATE LICENSE
MO
Enumeration date
04/06/2020
Last updated
09/04/2025
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